Author Question: A patient has been using Viagra on an intermittent basis for several years. However, he has cited ... (Read 11 times)

olgavictoria · **on:** Jul 23, 2018

A patient has been using Viagra on an intermittent basis for several years. However, he has cited delays in the onset and peak of action as the occasional source of frustration.

What PDE5 inhibitor may be of particular benefit to this patient's needs? A) Avanafil (Stendra)
B) Tadalafil (Cialis)
C) Vardenafil (Levitra)
D) Alprostadil (Caverject)

Question 2

A patient is discharged with octreotide (Sandostatin) and has been given minimal patient teaching. What is the most important aspect of patient teaching for this patient?

A) The importance of maintaining a diet high in fiber
B) The administration of subcutaneous injections
C) The concurrent use of bismuth subsalicylate and octreotide
D) The administration of morphine to decrease pain

missalyssa26 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Avanafil (Stendra), the newest PDE5 inhibitor, is a fast-acting and highly selective member of the class with a peak in 30 minutes. Cialis and Levitra have longer onsets of action and peaks. Alprostadil (Caverject) is not a PDE5 inhibitor.

Answer to Question 2

B
Feedback:
If octreotide is taken at home, the home care nurse may need to teach the patient or a caregiver how to administer subcutaneous injections; this drug is not available orally. The patient should limit the intake of fiber. The patient would not be administered bismuth subsalicylate with octreotide. The patient would not be administered morphine to decrease pain related to diarrhea.